08-1611 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T,i&t 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 08_ 0000161 Owner:
Property Address: 81485 JACARANDA CT LANE RESIDENCE
APN: 764-280-999-162 -300236- 81-485 JACARANDA CT
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 25000
Contractor:
Applicant -Architect or Engineer: TESERRA
P.O.P.O. BOX 1280
COACHELLA, CA 92236
(760)398-9222
Lic. No.: 656128
I hereby affirm under penalty of perjury that Psq
Section 7000) of Division 3 of the Business and
License Cl C8 C27 C�29
Date: '�` Contractor:J�
TRACTOR'S DECLARATION
under provisions of Chapter 9 (commencing with
gals C9de, aBEIifny License is in full force and effect.
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjuryth am efexempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Busines d Prossions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/08
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
• Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and poli umber are:
Carrier SEABRIGHT Policy Number BB1080530
I certify that, in the performance the work for which this permit is issued, I shall not employ any
person in any manner so as to be e t to the workers' compensation laws of California,
and agree that, if I should become a to the workers' compensation provisions of Section
3700 of the Labor Code, I shall ) rt ith c I it ose provisions.
Date: r Applicant: /
WARNING: FAILURE TO SECURE W KER kC011
� _O ERAGE IS FUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMI FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 0100,000). IN ADDITION TO "E COSTENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, EREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance oft ermit.
2. Any permit issued as a result of this application comes null and void if work is not commenced
within 180 days from date of issuance of such per ' , or cessation of work for 180 days will subject
permit to cancellation.
certify that I have read this application and state that the above inform is correct. I agree to co�qply with all
city and county ordinances and state laws relating to building const i he tho 'ze resentatives
of this co /peter upon the above-mentioned property for ' on purp
Date: / Signature (Applicant or Agentl:
Application Number .
. . . .. 08-00001611
Permit
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
252.00 Plan Check
Fee
163•.80
Issue Date . . . .
Valuation
. . .
. 24760
Expiration Date
3/22/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
20.7.00
Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date
Valuation
. . .
. 0
Expiration Date
3/22/09
Qty Unit Charge
Per
Extension.
BASE FEE
15.00
' 1.00 11.0000
--------------------------------------------------------------
EA MECH FURNACE >100K
11.00
--------------
Permit
ELEC POOL PERMIT -RES
Additional desc .
` Permit Fee . . . .
45.00 _Plan Check
Fee
11.25
Issue Date . . . .
Valuation
.0
Expiration Date
3/22/09
.
- Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 30.0000
----------------------------------------------------------------------------
EA ELEC PRIVATE SWIMMING
POOL
30.00
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
33.00 Plan Check
Fee
•.8.25
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
3/22/09
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 6.0000
EA PLB FIXTURE
12.00
1.00 3.0000
EA PLB WATER INST/ALT/REP
3.00
1.00 3.0000
--------------------------------------------------7-------------------------
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Permit . . . . . .
WALL/FENCE PERMIT
LQPERMIT
LQPERMIT
Application Number . . . . . 08-00001611
Permit . . . WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 240
Expiration Date 3/22/09
Qty Unit Charge Per
Extension
- BASE
FEE
15.00
------------------- ---------------------------------------------------------
Special Notes and Comments
POOL, SPA, ALARMS/BARRIERS SHALL
BE IN
PLACE AT PRE -PLASTER INSPECTION.
48" X
15 L.F. EQUIPMENT WALL. GAS STUB
FOR
FUTURE APPROVED APPLIANCE BY SEPARATE
PERMIT.
Fee summary Charged
Paid
Credited
Due
Permit Fee.Total 371.00
.00 .00
371.00
.Plan Check Total 189.80
.'00 .00
189.80
Grand Total 560.80
.00 -.00
560.80
LQPERMIT
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SPECIFICATIONS
.��1 �I I
TYPE ��� 1 LJ I T'E —SDE—L�2tiL K 151—d
SURFACE AREA�FPgM '3
S
PEPJMEIER Orn DEPTHS MIN. y MAX
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easr,
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sluwAr TYPE
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EXCAVA O / TEEL
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RIBBONS
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LaEffAT
moXTElaiwa Laos
IEMN LOADS
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u —
—
TIN SHELF O®
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MASONRY
OOP%O TYRE
PAS, FACING >77p lE,
swLYar TYPE — - az&
MIPS
PLUMBING
RiDI IDg s
SSOOSY RPIIV ERE —
-80 -
AM PUMP —SUE— S
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PROP .E
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ADOOUNETS
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PEBBLE / PL HTER
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PEYOLL` BOMI/Y
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LIGHTS w POO IN
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SIZE 12 VA
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DEED DO RAW
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PEERIVE eIEPNO
SPILLWAY TYPE_ 1
CANIILFYEI
FIOB-SEE STEEL
Aer.Puwr - -
OWNER RESP NBIBILITIEH
Dvn (1Ta
M DETERMINETICE THANRaeUTEELEVATNT 6POOL NSARE AELECT GOOF
@ TALE NOTICE THAT POQAIIOEOEYBIf lOCAT1O6ARE 6DSELT TOAOC®fNICEff
LOCAL SODDING DEPARfIATTHETIEOFAINIDEOF IBM.
M BR&YETDOMTI COWEIF SHEELATLEAST TWICE DALY FOR SEVEN DAYS AFTER SHELL 6 DHTNIID.
(4) AGREEND ANYHAT TESET A19NOT WIYSwxsNORO ITEMS CONDITIONS
S oFOR OR IE�ACCESS AREA.
(5) SEE THATALL FENCN(L GAVIAL AND GARAGE DOORSIEEi1OCALCODES FORA POOLENOOSIIE
(SIFOL POOL II.EDWTELYAFTER PLASTER. ( FOLLOWNBIW)CTIONS-00 NOTUSE MES HON I
f>) TAKE NOTICE OWTTNS MAWNG 6 THE SOLE PROPERTYOF TESENAANDTILATANY USE WITHOUT
WW REN PER M SSIOI OF TESE WEA 6 PRONBRm SY UW.
OWNER APPROVES PLAN, POO, AND EDUFTENT LOCATIONS AND NASIEADTIERe'70fIEW0ANDM0TICOIT E
SIOLITU A DATE
SWIMMING POOL PLAN FOR:
NAM
LANE RESIDENCE
STREET - 8P M as ACA V
JOBADDRES$ T IL-OGY L.P. QYJITJTA
PHONE OPTICE RES }
LOT ro Z TRACT PAGE BOOK
MAP BOOK PAGE NO. icrry
MAIL ADDRESS
CONSTRUCTION OFFICEPHONE NO.
SCALE DATE "By
_, (0- LA-0 8
SOLD BY
S A A
CHECKED
bb
��
REVISIONS DATE:
2
3
SELECTIONS
STONE
TILE
BOULDERS
DECK COLOR
ANDY-
PIES"LAS ' Lam- a
SIGNATURE
DRAINAGE NOTE: DMWaid kdpDNIfor *nt--4pot%bydholk
LIim oDDlWise roDd
Bin #
City of. La Quinta
Building a Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: JaGAAAAI)A C4 Owner's Name:
A. P. Number:
Address: �&VPA
Legal Description: City, ST, Zip:
Contractor: Telephone: ( ) ?
Address: Ave iS;U Project Description:
City, ST, Zip: C'0W n CX- a a Cri -2
/_1;7-Z F - 7 Gi
� 4r- 9&�-11 —)b VA,
Telephone: ��Ipn -SA &W,
-5;Yit Fag, Fu4w
State Lic. #: 2 City Lic. #: p
AAWAlt ie
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: /Loccupancy:
State Lic. #: Project type (circle one) (`NeDw Add'n
Alter Repair Demo
Name of Contact Person: P Y-0� n Ce 1prJ Sq. Ft.: # Stories:
'44"Units:
Telephone # of Contact Person:(7(o). 2 50— 0z Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd Rec.1d
TRACKING PERNM FEES
Plain Sets Plan Check submitted J;Je- Item
Amount
Structural Cales. Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan. Check Balance
Energy. Calics. Plans picked up --Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan, 2.d Review, ready for corrections/issue Electrical
e
Subcontactor List Called Contact
P
CPerson Plumbing
-----------
ans resu m e . .. .......
Grading
Pub. Wks. Appir
School Fees
Date of permit issue
.. .. := I.' * - . ... ...-I-..
Total Permit Fees
a(6
1(00